[Tricuspid insufficiency and right traumatic ventricular aneurysm. Apropos of a case].
Tricuspid incompetence associated with a right ventricular aneurysm wa discovered after a non-penetrating thoracic injury. The severity of the tricuspid lesion was confirmed by phonomechanography, catheterisation and angiography. The mechanism was demonstrated by two-dimensional echocardiography: the right ventricular aneurysm was located in the right ventricular outflow tract. As the hemodynamic tolerance was good, surgery was not performed. A review of the literature found 41 other reports of traumatic tricuspid incompetence, and 4 cases of right ventricular aneurysm, only one of which was associated with tricuspid regurgitation. The points of interest of ths case: the rarity of the association, the good hemodynamic tolerance and the value of two-dimensional echocardiography for the diagnosis of ruptured chordae in the absence of surgical observations.
D000368:Aged; D002815:Chordae Tendineae / Q000293:injuries; D004452:Echocardiography; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006335:Heart Injuries / Q000150:complications*; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications
Insuffisance tricuspidienne et anévrysme ventriculaire droit traumatique. A propos d'un cas.